Individual provider · Type 1 NPI

Lucyana Magrietta Panjaitan, NURSE PRACTITIONER

Nurse Practitioner · Riverside, CA

NPI number 1831656578 Active

Practice location

4500 Brockton Ave
Riverside, CA 92501-4090

Fax (951) 276-2960

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95007651 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1831656578

Lucyana Magrietta Panjaitan, NURSE PRACTITIONER's National Provider Identifier is 1831656578, issued on Feb 28, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Riverside, CA. The record was last updated on Sep 26, 2023.